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Nationwide Medical Network
General Practice Physician in O Fallon, Illinois
NPI 1578226569

Nationwide Medical Network is a General Practice Physician based in O Fallon, IL. Nationwide Medical Network practices in O Fallon, IL. The NPI Number for Nationwide Medical Network is 1578226569 and holds a License No. (Illinois).

The current practice location address for Nationwide Medical Network is 1333 Central Park Drive Suite 102, O Fallon, IL and can be reached out via phone at 618-477-4960.

Location: 1333 Central Park Drive Suite 102, O Fallon, IL, 62269-7287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578226569
Provider Name
Nationwide Medical Network
Credential
Provider Entity Type
Organization
Address
1333 Central Park Drive Suite 102, O Fallon, IL, 62269-7287
Phone Number
618-477-4960
Fax Number
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10892503 01 IL ARTICLES OF ORGANIZATION
10892503 01 IL ARTICLES OF ORANIZATION
institution
Provider Business Practice Location Address Details
Address
1333 Central Park Drive Suite 102
City
O Fallon
State
Illinois
Zip
62269
Phone Number
618-477-4960
Fax Number
person
Provider Business Mailing Address Details
Address
1333 Central Park Drive Suite 102
City
O Fallon
State
Illinois
Zip
62269
Phone Number
618-477-4960
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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